| Abdomen 2 views (74019) |
$1,325.25 |
$1,767 |
13.7× |
| Acute gastrointestinal blood loss imaging (78278) |
$1,118.25 |
$1,491 |
3.0× |
| Angiography extremity bilateral rs&i (75716) |
$3,706.88 |
$4,942.50 |
1.3× |
| Angiography extremity unilateral rs&i (75710) |
$2,352.75 |
$3,137 |
0.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) |
$25,329.75 |
$33,773 |
4.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) |
$8,358.75 |
$11,145 |
2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) |
$5,550 |
$7,400 |
1.9× |
| Angiography visceral slctv/supraslctv rs&i (75726) |
$13,885.12 |
$18,513.50 |
2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) |
$2,860.50 |
$3,814 |
1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) |
$6,281.25 |
$8,375 |
2.1× |
| Ankle 2 views (73600) |
$778.50 |
$1,038 |
9.7× |
| Antegrade urography radiological supvj & interpj (74425) |
$570.38 |
$760.50 |
1.8× |
| Aortogram thoracic (75605) |
$4,009.50 |
$5,346 |
0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) |
$5,021.25 |
$6,695 |
1.7× |
| Aortography abdominal serialography rs&i (75625) |
$3,494.25 |
$4,659 |
1.2× |
| Arthrogram elbow (73085) |
$2,313.75 |
$3,085 |
7.2× |
| Arthrogram hip (73525) |
$2,926.50 |
$3,902 |
9.1× |
| Arthrogram shoulder (73040) |
$1,160.25 |
$1,547 |
3.6× |
| Arthrogram wrist (73115) |
$1,716.75 |
$2,289 |
5.3× |
| Arthrography knee lt (73580) |
$3,550.50 |
$4,734 |
11.0× |
| Bone &/Joint Imaging Limited Area (78300) |
$1,327.50 |
$1,770 |
3.6× |
| Bone &/joint imaging whole body (78306) |
$5,086.50 |
$6,782 |
13.7× |
| Bone age studies (77072) |
$441 |
$588 |
4.6× |
| Bone Imaging 3 Phase (78315) |
$5,308.50 |
$7,078 |
14.3× |
| Bone survey complete (77075) |
$1,636.12 |
$2,181.50 |
16.9× |
| Brain Imaging Vascular Flow Only (78610) |
$1,952.25 |
$2,603 |
3.9× |
| Cervical spine 2 or 3 views (72040) |
$972.75 |
$1,297 |
12.1× |
| Chest 1 view (71045) |
$677.25 |
$903 |
8.4× |
| Chest 3 views (71047) |
$595.50 |
$794 |
7.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$594 |
$792 |
3.7× |
| Clavicle complete (73000) |
$820.50 |
$1,094 |
10.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$928.50 |
$1,238 |
9.6× |
| CT abdomen and pelvis without and with contrast (74178) |
$12,121.88 |
$16,162.50 |
37.5× |
| CT abdomen and pelvis without contrast (74176) |
$8,264.62 |
$11,019.50 |
37.4× |
| CT abdomen w contrast (74160) |
$6,837.75 |
$9,117 |
42.1× |
| CT abdomen w wo contrast (74170) |
$7,915.50 |
$10,554 |
48.7× |
| CT abdomen w/o contrast (74150) |
$5,359.50 |
$7,146 |
55.3× |
| CT angiography upper extremity lt (73206) |
$3,900 |
$5,200 |
24.0× |
| CT c-spine w/o contrast (72125) |
$5,491.88 |
$7,322.50 |
56.7× |
| CT cervical spine w&w/o contrast (72127) |
$7,437 |
$9,916 |
45.8× |
| CT cervical spine with contrast (72126) |
$5,199 |
$6,932 |
16.1× |
| CT chest w/wo contrast (71270) |
$6,876 |
$9,168 |
42.3× |
| CT chest with contrast (71260) |
$6,297 |
$8,396 |
38.7× |
| CT head/brain with contrast (70460) |
$6,348.75 |
$8,465 |
39.1× |
| CT head/brain without and with contrast (70470) |
$7,577.25 |
$10,103 |
46.6× |
| CT heart no contrast quant eval coronry calcium (75571) |
$357 |
$476 |
4.4× |
| CT iac w contrast (70481) |
$5,617.88 |
$7,490.50 |
34.6× |
| CT limited/localized follow up study (76380) |
$706.50 |
$942 |
8.8× |
| CT lower ext w/o (73700) |
$2,917.50 |
$3,890 |
30.1× |
| CT lower extremity w wo contrast (73702) |
$4,451.62 |
$5,935.50 |
27.4× |
| CT lower extremity with contrast (73701) |
$3,891.38 |
$5,188.50 |
23.9× |
| CT lumbar spine w & w/o contrast (72133) |
$5,630.25 |
$7,507 |
34.6× |
| CT lumbar spine w/o contrast (72131) |
$5,530.50 |
$7,374 |
57.1× |
| CT lumbar spine with contrast (72132) |
$6,102.75 |
$8,137 |
18.9× |
| CT maxillofacial w contrast (70487) |
$6,745.50 |
$8,994 |
41.5× |
| CT maxillofacial w/o contrast (70486) |
$5,199 |
$6,932 |
53.7× |
| CT maxillofacial w/wo contrast (70488) |
$7,373.25 |
$9,831 |
45.4× |
| CT neck soft tissue w contrast (70491) |
$4,200 |
$5,600 |
25.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) |
$6,492.75 |
$8,657 |
40.0× |
| CT orbits w/o contrast (70480) |
$4,044 |
$5,392 |
41.8× |
| CT pelvis w & w/o contrast (72194) |
$10,206.75 |
$13,609 |
62.8× |
| CT pelvis w/o contrast (72192) |
$4,914 |
$6,552 |
50.7× |
| CT soft tissue neck w/o & w/contrast material (70492) |
$5,690.25 |
$7,587 |
35.0× |
| CT soft tissue neck w/o contrast (70490) |
$3,063 |
$4,084 |
31.6× |
| CT thoracic spine w/contrast (72129) |
$4,421.62 |
$5,895.50 |
27.2× |
| CT thoracic spine w/o contrast (72128) |
$3,279.75 |
$4,373 |
33.9× |
| CT thoracic spine w/wo contrast (72130) |
$5,911.12 |
$7,881.50 |
36.4× |
| CT thorax w/o contrast (71250) |
$4,833 |
$6,444 |
49.9× |
| CT upper extremity w/o & w/contrast material (73202) |
$6,518.25 |
$8,691 |
40.1× |
| CT upper extremity w/o contrast rt (73200) |
$3,359.25 |
$4,479 |
34.7× |
| CT upper extremity with contrast (73201) |
$4,350 |
$5,800 |
13.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$7,978.50 |
$10,638 |
49.1× |
| Cta Abdomen (74175) |
$5,702.25 |
$7,603 |
35.1× |
| CTA abdomen pelvis (74174) |
$6,840.38 |
$9,120.50 |
21.2× |
| CTA chest (71275) |
$5,186.25 |
$6,915 |
31.9× |
| Cta Head (70496) |
$4,970.25 |
$6,627 |
30.6× |
| CTA lwr ext w&w/o contrast (73706) |
$3,082.88 |
$4,110.50 |
19.0× |
| Cta Neck (70498) |
$4,970.25 |
$6,627 |
30.6× |
| Cta Pelvis (72191) |
$4,150.88 |
$5,534.50 |
25.5× |
| Cystography minimum 3 views rs&i (74430) |
$471.75 |
$629 |
1.5× |
| Diskography lumbar (72295) |
$9,564 |
$12,752 |
5.3× |
| Dxa bone density study 1/> sites axial skel (77080) |
$1,437.75 |
$1,917 |
14.8× |
| Dxa bone density study axial skeleton (77085) |
$648.75 |
$865 |
6.7× |
| Echoencephalography real time imaging (76506) |
$396 |
$528 |
4.1× |
| Esophagus (74220) |
$1,080.75 |
$1,441 |
6.7× |
| Fetal biophysical profile non-stress testing (76818) |
$718.50 |
$958 |
7.4× |
| Fluoroscopy up to 1 hr (76000) |
$618 |
$824 |
2.8× |
| Foot 2 views (73620) |
$864.75 |
$1,153 |
10.7× |
| Forearm 2 views (73090) |
$500.62 |
$667.50 |
6.2× |
| Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days Age… (78266) |
$3,049.50 |
$4,066 |
6.1× |
| Gated Heart Planar Single (78472) |
$789.75 |
$1,053 |
2.1× |
| Hand 2 views (73120) |
$861 |
$1,148 |
8.9× |
| Hand 3 views (73130) |
$854.62 |
$1,139.50 |
10.6× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) |
$5,079.75 |
$6,773 |
1.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) |
$4,831.50 |
$6,442 |
9.6× |
| Hepatobiliary syst imaging including gallbladder (78226) |
$4,831.50 |
$6,442 |
13.0× |
| Ht muscle image spect sing (78451) |
$10,201.50 |
$13,602 |
8.5× |
| Humerus Min 2 Views Left (73060) |
$456.75 |
$609 |
5.7× |
| Hysterosalpingogram (74740) |
$1,308.75 |
$1,745 |
5.9× |
| Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) |
$393.75 |
$525 |
4.1× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) |
$2,070 |
$2,760 |
4.1× |
| Kidney img morphology vascular flow 1 w/rx (78708) |
$1,683.75 |
$2,245 |
3.3× |
| Knee 3 views (73562) |
$1,002.75 |
$1,337 |
12.4× |
| Liver & spleen imaging static only (78215) |
$6,664.50 |
$8,886 |
18.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) |
$5,278.50 |
$7,038 |
14.3× |
| Lung Ventilation Imaging (78579) |
$1,825.50 |
$2,434 |
4.9× |
| Lymphoscintigraphy (78195) |
$1,819.50 |
$2,426 |
3.6× |
| Meckels Diverticulum (78290) |
$2,198.25 |
$2,931 |
5.9× |
| Mr safety determination physician/other qhp (76016) |
$308.25 |
$411 |
3.8× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) |
$639.75 |
$853 |
11.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) |
$47.25 |
$63 |
1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) |
$488.25 |
$651 |
5.5× |
| Mr safety med physics xm customization plng&mntr (76017) |
$965.25 |
$1,287 |
4.4× |
| MRA head w & w/o contrast (70546) |
$5,134.50 |
$6,846 |
15.9× |
| MRA head w/o contrast (70544) |
$3,110.25 |
$4,147 |
14.1× |
| MRA head with contrast (70545) |
$4,278.75 |
$5,705 |
13.2× |
| MRA neck w contrast (70548) |
$3,867 |
$5,156 |
12.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$5,191.12 |
$6,921.50 |
16.1× |
| MRA neck w/o contrast (70547) |
$3,110.25 |
$4,147 |
14.1× |
| MRI abdomen w contrast (74182) |
$5,901.75 |
$7,869 |
18.3× |
| MRI abdomen w/o & w/contrast material (74183) |
$7,905.75 |
$10,541 |
24.5× |
| MRI abdomen w/o contrast (74181) |
$4,911.75 |
$6,549 |
22.2× |
| MRI any jnt lwr ext with con lt (73722) |
$5,299.50 |
$7,066 |
7.3× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$6,277.12 |
$8,369.50 |
8.6× |
| MRI c-spine with contrast (72142) |
$7,612.12 |
$10,149.50 |
23.5× |
| MRI cervical spine w/o contrast (72141) |
$6,440.25 |
$8,587 |
29.1× |
| MRI chest w/o & w/contrast material (71552) |
$2,894.25 |
$3,859 |
9.0× |
| MRI chest w/o contrast (71550) |
$2,280.75 |
$3,041 |
10.3× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$7,203 |
$9,604 |
22.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$5,299.50 |
$7,066 |
16.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$4,134 |
$5,512 |
18.7× |
| MRI orbit face &/neck w/o contrast (70540) |
$3,714.38 |
$4,952.50 |
16.8× |
| MRI orbit/face/neck w&w/o cont (70543) |
$4,507.50 |
$6,010 |
13.9× |
| MRI orbit/face/neck w/contrast (70542) |
$5,134.50 |
$6,846 |
15.9× |
| MRI pelvis w/o & w/contrast material (72197) |
$6,510 |
$8,680 |
20.1× |
| MRI pelvis w/o contrast (72195) |
$5,162.25 |
$6,883 |
23.4× |
| MRI scan of arm joint before and after contrast (73223) |
$7,713 |
$10,284 |
23.9× |
| MRI scan of leg joint before and after contrast (73723) |
$7,695.75 |
$10,261 |
23.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$7,258.50 |
$9,678 |
22.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$7,978.50 |
$10,638 |
24.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$7,662.75 |
$10,217 |
23.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$8,195.25 |
$10,927 |
25.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$7,662.75 |
$10,217 |
23.7× |
| MRI thoracic spine w/o contrast (72146) |
$6,440.25 |
$8,587 |
29.1× |
| MRI tmj (70336) |
$4,188.75 |
$5,585 |
18.9× |
| MRI upper ext joint w/o contrast (73221) |
$4,803.75 |
$6,405 |
21.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$6,642 |
$8,856 |
20.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$4,803.75 |
$6,405 |
21.7× |
| Myelogram Cervical (72240) |
$2,817 |
$3,756 |
3.9× |
| Myelogram Lumbar (72265) |
$2,817 |
$3,756 |
3.9× |
| Myelography 2 or more regions (72270) |
$2,817 |
$3,756 |
3.9× |
| Myocardial Spect Multiple Studies (78452) |
$12,765 |
$17,020 |
10.6× |
| Neck soft tissue (70360) |
$944.25 |
$1,259 |
11.7× |
| Nm cisternogram (78630) |
$2,788.50 |
$3,718 |
5.5× |
| Nm gastric emptying study (78264) |
$2,392.50 |
$3,190 |
6.5× |
| Nm peritoneal-venous shunt patency (78291) |
$2,054.25 |
$2,739 |
5.5× |
| Nuclear medicine study of stomach to assess emptying small bowel movement (78265) |
$3,025.50 |
$4,034 |
8.2× |
| Osseous survey infant (77076) |
$878.25 |
$1,171 |
9.1× |
| Parathyrd planar w/wo subtrj (78071) |
$2,019 |
$2,692 |
5.5× |
| Parathyroid imaging (78070) |
$1,008 |
$1,344 |
2.7× |
| Pelvis 1 or 2 views (72170) |
$220.88 |
$294.50 |
2.3× |
| Peritoneogram rs&i (74190) |
$4,827 |
$6,436 |
9.5× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$7,899 |
$10,532 |
24.4× |
| Pulmonary Perfusion Imaging Particulate (78580) |
$1,262.25 |
$1,683 |
3.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) |
$3,190.50 |
$4,254 |
6.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$1,308 |
$1,744 |
2.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$744 |
$992 |
9.2× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$852.75 |
$1,137 |
8.8× |
| Radex hips bilateral with pelvis 2 views (73521) |
$591.75 |
$789 |
6.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) |
$1,232.62 |
$1,643.50 |
12.7× |
| Radiolog exam mandible compl minimum 4 views (70110) |
$616.88 |
$822.50 |
6.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$802.50 |
$1,070 |
10.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$1,347 |
$1,796 |
13.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$746.25 |
$995 |
9.3× |
| Radiologic exam colon single contrast study (74270) |
$1,017.75 |
$1,357 |
6.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) |
$993.75 |
$1,325 |
6.1× |
| Radiologic exam upr gi trc double contrast study (74246) |
$1,833.75 |
$2,445 |
11.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$463.88 |
$618.50 |
5.8× |
| Radiological examination surgical specimen (76098) |
$1,143.75 |
$1,525 |
2.3× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) |
$5,968.50 |
$7,958 |
2.0× |
| Ribs bilateral 3 views (71110) |
$1,057.50 |
$1,410 |
10.9× |
| Rp loclzj tum plnr whole body single day imaging (78802) |
$3,345.75 |
$4,461 |
6.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$3,285 |
$4,380 |
6.5× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) |
$3,900.61 |
$5,200.81 |
3.3× |
| Salivary gland imaging (78230) |
$1,037.25 |
$1,383 |
2.8× |
| Scanogram (77073) |
$467.25 |
$623 |
4.8× |
| Scapula complete (73010) |
$867.38 |
$1,156.50 |
9.0× |
| Screening digital breast tomosynthesis (77063) |
$158.25 |
$211 |
6.8× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,254.75 |
$1,673 |
13.0× |
| Small bowel series (74250) |
$1,154.25 |
$1,539 |
7.1× |
| Speech evaluation complex (70371) |
$695.25 |
$927 |
3.1× |
| Spine thoracic 3 views (72072) |
$687 |
$916 |
7.1× |
| Splenoportograpy rs&i (75810) |
$4,500 |
$6,000 |
1.5× |
| Testicular Imaging With Vascular Flow (78761) |
$3,428.25 |
$4,571 |
9.3× |
| Thyroid carcinoma metastases img whole body (78018) |
$3,954 |
$5,272 |
7.9× |
| Thyroid uptake measurement (78012) |
$1,374.75 |
$1,833 |
3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) |
$1,458.75 |
$1,945 |
3.9× |
| Tomogram (76100) |
$924.75 |
$1,233 |
9.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) |
$6,937.50 |
$9,250 |
13.8× |
| Ultrasound, abdomen limited (76705) |
$1,834.50 |
$2,446 |
18.9× |
| Umbilical-artery Doppler (OB) (76820) |
$444.75 |
$593 |
4.6× |
| Urethrocystography retrograde rs&i (74450) |
$516 |
$688 |
2.3× |
| Urethrocystography voiding (74455) |
$580.50 |
$774 |
2.6× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) |
$1,456.50 |
$1,942 |
9.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) |
$1,662 |
$2,216 |
10.2× |
| Us abdl aorta screen aaa (76706) |
$573.75 |
$765 |
5.9× |
| Us breast unilateral complete (76641) |
$1,255.50 |
$1,674 |
13.0× |
| Us breast unilateral limited (76642) |
$1,320 |
$1,760 |
16.4× |
| Us chest (76604) |
$348 |
$464 |
3.6× |
| Us guided compression repair (76936) |
$2,464.50 |
$3,286 |
12.3× |
| Us ob detailed single fetus (76811) |
$2,468.25 |
$3,291 |
11.2× |
| Us ob transvaginal (76817) |
$1,038.75 |
$1,385 |
10.7× |
| Us pelvic non ob complete (76856) |
$2,446.50 |
$3,262 |
25.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) |
$1,686 |
$2,248 |
17.4× |
| Us pregnancy ltd (76815) |
$1,312.50 |
$1,750 |
13.6× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) |
$1,038.75 |
$1,385 |
10.7× |
| Us retroperitoneal complete (76770) |
$1,155.75 |
$1,541 |
11.9× |
| Us retroperitoneal limited (76775) |
$880.50 |
$1,174 |
9.1× |
| Us scrotum and contents (76870) |
$1,824.75 |
$2,433 |
18.8× |
| Us soft tissue head/neck (76536) |
$882.75 |
$1,177 |
9.1× |
| Us spinal canal and contents (76800) |
$760.50 |
$1,014 |
7.9× |
| Us transrectal (76872) |
$1,108.50 |
$1,478 |
11.4× |
| Us xtr non-vasc lmtd (76882) |
$1,032.75 |
$1,377 |
10.7× |
| Venogram extremity bilateral (75822) |
$2,571.38 |
$3,428.50 |
1.8× |
| Venography caval inferior serialography rs&i (75825) |
$3,275.25 |
$4,367 |
1.1× |
| Venography caval superior serialography rs&i (75827) |
$3,342.75 |
$4,457 |
2.3× |
| Venography extremity unilateral rs&i (75820) |
$3,067.50 |
$4,090 |
2.1× |
| Venography Renal Bilateral (75833) |
$8,623.50 |
$11,498 |
2.9× |
| Venography renal unilateral selective rs&i (75831) |
$7,176.75 |
$9,569 |
2.5× |
| Venography venous sinus/jugular cath rs&i (75860) |
$3,017.25 |
$4,023 |
1.0× |
| Wrist 2 views (73100) |
$525.75 |
$701 |
6.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) |
$1,331.62 |
$1,775.50 |
13.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,570.50 |
$2,094 |
19.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$873.75 |
$1,165 |
10.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$1,544.25 |
$2,059 |
9.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$726 |
$968 |
9.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,688.25 |
$2,251 |
20.9× |
| X-ray exam entire spi 4/5 vw (72083) |
$1,110.75 |
$1,481 |
11.5× |
| X-ray exam hip uni 1 view (73501) |
$150.75 |
$201 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$393.75 |
$525 |
4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$597 |
$796 |
6.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$1,258.50 |
$1,678 |
13.0× |
| X-ray exam of femur 1 (73551) |
$414 |
$552 |
5.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) |
$227.25 |
$303 |
2.8× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$844.50 |
$1,126 |
10.5× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) |
$2,049 |
$2,732 |
1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$221.25 |
$295 |
2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) |
$465.38 |
$620.50 |
5.8× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,004.25 |
$1,339 |
10.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) |
$907.12 |
$1,209.50 |
11.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,281.75 |
$1,709 |
13.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$1,255.50 |
$1,674 |
13.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) |
$1,213.88 |
$1,618.50 |
12.5× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) |
$819.75 |
$1,093 |
10.2× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) |
$600.75 |
$801 |
7.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) |
$808.50 |
$1,078 |
8.3× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) |
$582.75 |
$777 |
1.8× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$975.75 |
$1,301 |
12.1× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) |
$1,057.50 |
$1,410 |
10.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$1,458.75 |
$1,945 |
15.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$476.62 |
$635.50 |
4.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$970.12 |
$1,293.50 |
12.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$942 |
$1,256 |
11.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$880.50 |
$1,174 |
10.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) |
$275.25 |
$367 |
3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$603 |
$804 |
6.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$448.50 |
$598 |
4.6× |
| X-Ray Spine One View - Xr Spine (72020) |
$835.50 |
$1,114 |
10.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$683.62 |
$911.50 |
8.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) |
$346.50 |
$462 |
4.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$1,305.38 |
$1,740.50 |
13.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) |
$1,194 |
$1,592 |
12.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$427.50 |
$570 |
5.3× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$601.50 |
$802 |
7.5× |
| Xr c-spine 6 or more views (72052) |
$1,002 |
$1,336 |
10.3× |
| Xr chest 4+ views (71048) |
$825.75 |
$1,101 |
8.5× |
| Xr finger(s) 2+ views (73140) |
$432.75 |
$577 |
5.4× |
| Xr shoulder 1 view (73020) |
$496.50 |
$662 |
6.2× |
| Xr spine cervical 4 or 5 views (72050) |
$1,135.12 |
$1,513.50 |
11.7× |
| Xr tibia/fibula 2 views (73590) |
$933.38 |
$1,244.50 |
11.6× |
| Xr tmj bilateral (70330) |
$284.25 |
$379 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$861 |
$1,148 |
10.7× |